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General NPI Number Information
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NPI Number | 1477651875
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Entity Type | Individual
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Provider Name | DIANE JOSEPHINE SCHREADER LMFT
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Gender | Female
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Dates
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Enumeration Date | 09/20/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 8300 NORTH HAYDEN RD STE A104
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City | SCOTTSDALE
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State | AZ
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Zip | 85258
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Country | US
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Telephone | 480-443-3060
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Fax | 480-483-3981
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Provider Business Mailing Address
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Address Line | 7634 E SAN FERNANDO DR
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City | SCOTTSDALE
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State | AZ
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Zip | 85255
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Country | US
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Telephone | 480-502-9344
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Fax | 480-483-3981
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 0263
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License Number State | AZ
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